Provider Demographics
NPI:1235179672
Name:ALPEROVITZ-BICHELL, KARI FAI
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:FAI
Last Name:ALPEROVITZ-BICHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12524
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4016
Mailing Address - Country:US
Mailing Address - Phone:410-990-0050
Mailing Address - Fax:410-990-0336
Practice Address - Street 1:701 GLENWOOD ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2350
Practice Address - Country:US
Practice Address - Phone:410-990-0050
Practice Address - Fax:410-990-0336
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD37291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD094000300Medicaid
MD094000300Medicaid
392935YT9AMedicare PIN